Individual provider Active NPI

Wen-CHI Takada, DDS

  • General Practice Dentistry
  • Novi, MI
National Provider Identifier
1972677672
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018155 Issued in MI
Practice address
43155 Main St
Suite 2312
Novi, MI 48375-1777
Phone
(248) 344-1000
Fax
(248) 349-3995
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018155 MI Primary

Addresses

Primary practice location

43155 Main St
Suite 2312
Novi, MI 48375-1777

Mailing address

43155 Main St
Suite 2312
Novi, MI 48375-1777
Phone (248) 344-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901018155MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wen-CHI Takada DDS,PC PastSince Mar 16, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1972677672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST",
            "address_2": "SUITE 2312",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751777",
            "telephone_number": "248-344-1000",
            "fax_number": "248-349-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST",
            "address_2": "SUITE 2312",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751777",
            "telephone_number": "248-344-1000",
            "fax_number": "248-349-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKADA",
        "first_name": "WEN-CHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.